John Alan Smith, D.D.S.,P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7495 Issued in TN

Practice address

1599 Fort Henry Dr
Ste. 103
Kingsport, TN 37664-2535

Phone

(423) 247-7821

Fax

(423) 247-2156

NPI assigned

Nov 7, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1003897281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1599 FORT HENRY DR",
            "address_2": "STE. 103",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376642535",
            "telephone_number": "423-247-7821",
            "fax_number": "423-247-2156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1599 FORT HENRY DR",
            "address_2": "STE. 103",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376642535",
            "telephone_number": "423-247-7821",
            "fax_number": "423-247-2156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JOHN",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.,P.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-07",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "7495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Scott Smith, M.D.
• Eric K Smith, MD
• Galen R. Smith, M.D.
• Heather Nicole Smith, P.T.
• Jamie Edwards Smith, PT
• Jonathan Lee Smith, DPT
• Joshua Dale Smith, FNP
• Kenneth Wayne Smith, MD
• Kevin Michael Smith, PHARMD
• Melissa Dawn Smith, FNP

• General Practice Dentistry in Kingsport, TN
• Providers in Kingsport, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.